Asiana Flight 214 Case Study

Improved Essays
Crash of Asiana Flight 214
Kyle Adkins
Embry Riddle
Introduction to Aeronautical Science
ASCI 202

July 10, 2015

Crash of Asiana Flight 214
I. Summary
On July 6, 2013, about 1128 Pacific daylight time, a Boeing 777-200ER, Korean registration HL7742, operating as Asiana Airlines flight 214, was on approach to runway 28L when it struck a seawall at San Francisco International Airport (SFO), San Francisco, California. Three of the 291 passengers were fatally injured; 40 passengers, 8 of the 12 flight attendants, and 1 of the 4 flight crewmembers received serious injuries. The other 248 passengers, 4 flight attendants, and 3 flight crewmembers received minor injuries or were not injured (NATIONAL TRANSPORTATION SAFETY BOARD [NTSB],
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Problem
The flight crew mismanaging the airplane’s vertical profile during the initial approach caused the situation that resulted in the crash of flight 214 (NTSB, 2014). When the flight crew mismanaged the airplane’s vertical profile during the initial approach resulted in the airplane being well above the desired glide path when it reached the 5 nautical mile point, and this increased the difficulty of achieving a stabilized approach and cause the crashing of flight 214 (NTSB, 2014).
III. Significance of the Problem
The significance of the problem is that due to the Adherence of Asiana pilots was not consistent, the pilots did not have a proper understanding of the Boeing 777 A/P and A/T systems interact to control airspeed in FLCH SPD mode, what happens when the A/T is overridden and the throttles transition to HOLD in a FLCH SPD descent, and how the A/T automatic engagement feature operates (NTSB, 2014). The crash of flight 214 only happened due to pilot error and not only killed 3 and injured several passengers on board, but also destroyed the
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Development of Alternative Actions
Alternative Action 1. Reduced design complexity and enhanced training on the airplane’s auto flight system (NTSB, 2014, para. 7).

Advantages. Pilots would gain more experience and knowledge on the aircrafts auto flight system, and making the design less complicated would lessen the room for error.

Disadvantages. The PF had an inaccurate understanding of how the Boeing 777 A/P and A/T systems interact to control airspeed in FLCH SPD mode, what happens when the A/T is overridden and the throttles transition to HOLD in a FLCH SPD descent, and how the A/T automatic engagement feature operates (NTSB, 2014, para. 7). Had the PF understood the system entirely he may have been able to correct the pilot and prevent the accident be it occurred.

Alternative Action 2. Asiana airlines making it a requirement that new instructors supervise trainee pilots in operational service during they’re instructor training (NTSB, 2014).

Advantages. By requiring new instructors to supervise trainee pilots during operational service flights under the supervision of an experienced instructor, they would gain real life experience and see just how fast things can go

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